OKWUKWE IBIAM

PARK CITY, UT
NPI1356795736
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MA  5292)
Enumeration Date2016-04-21
Last Update Date2016-04-21
Business Address
-- OKWUKWE IBIAM
1640 REDSTONE CENTER DR STE 200
PARK CITY, UT 84098-7607
Phone number: 781-937-9777
Mailing Address
-- OKWUKWE IBIAM
11 OAKWOOD AVE
RANDOLPH, MA 02368-5528
Phone number: 781-961-9481
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